| NPI | 1912638552 |
|---|---|
| Former Name | CANDACE RAE BARTHEIDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 30874) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 30874) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-09-27 |