| NPI | 1083315402 |
|---|---|
| Former Name | MAUREEN GRACE NAURECKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.018459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180017179) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2026-04-19 |