| NPI | 1376772384 |
|---|---|
| Former Name | ANGELA RAE KOLKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1000340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1200522) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2013-06-13 |