| NPI | 1255663142 |
|---|---|
| Former Name | KRISTIN MARIE GILDSETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 10854) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN LGSW10854) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-12-04 |