| NPI | 1982339479 |
|---|---|
| Former Name | KELLY KOLZOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.111855) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 2331484) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-10-13 |