| NPI | 1104360486 | 
|---|---|
| Former Name | KATELYN RANNEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 6531)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5434)  | 
| 104100000X Social Worker (Licence: MN 22341)  | |
| Enumeration Date | 2016-12-06 | 
| Last Update Date | 2023-06-15 |