| NPI | 1841928611 |
|---|---|
| Former Name | KAMERON NICOLE BREUNLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IL 2047269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025247) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-08-22 |