| NPI | 1457709909 |
|---|---|
| Former Name | KATELYN MARIE RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 129421) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 24914) |
| 1041S0200X Social Worker, School (Licence: MN 940710) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |