NPI | 1700554797 |
---|---|
Former Name | KRISTINE MARIE ONGSTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25991) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 21360) |
Enumeration Date | 2021-09-02 |
Last Update Date | 2024-06-27 |