| NPI | 1003527896 |
|---|---|
| Former Name | BREONNA V KRAFFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-6256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6256) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |