| NPI | 1861052078 |
|---|---|
| Former Name | BETHANY N KROMBHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8642-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 4338-226) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-06-13 |