| NPI | 1689737918 |
|---|---|
| Former Name | MICHELLE NICOLE KOLB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29076) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-03-02 |