| NPI | 1265800809 |
|---|---|
| Former Name | ELENA MARIE ECKELBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH16647) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010233) |
| 101YP2500X Counselor, Professional (Licence: MI 6401015975) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-08-04 |