| NPI | 1194940486 |
|---|---|
| Former Name | KIMBERLY ANNE BRECKENRIDGE/KREAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-4251) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-06-21 |