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 |