| NPI | 1831789494 |
|---|---|
| Former Name | KELLY WOGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-05-22 |