NPI | 1043659709 |
---|---|
Former Name | KATIE ROSE KREBSBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5865) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34714) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2025-06-06 |