NPI | 1306346614 |
---|---|
Former Name | KELLYN ANN KRONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01735) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6692-125) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-11-19 |