| NPI | 1639953102 |
|---|---|
| Former Name | KARLIE JO KORISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 29517) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-01-22 |