| NPI | 1295068096 |
|---|---|
| Former Name | DEBRA D KUEKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003856) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041226266) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |