| NPI | 1043709421 |
|---|---|
| Former Name | KALENE ANN SHARSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3764) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2018-060) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-01-24 |