| NPI | 1023640083 |
|---|---|
| Former Name | JENNIFER MICHELLE KRAKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9537-123) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-10-15 |