| NPI | 1588000723 |
|---|---|
| Former Name | COLLEEN ELIZABETH ZYCHOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009463) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-09-14 |