| NPI | 1225483977 |
|---|---|
| Former Name | ELIZABETH A ALTENBERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6005) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009815) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-06-23 |