| NPI | 1205685542 |
|---|---|
| Former Name | KRISTA LEE KLADDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-08-14 |