| NPI | 1548991326 |
|---|---|
| Former Name | CHEYENNE JORDYN KRONEWITTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1983) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |