| NPI | 1760849459 |
|---|---|
| Other Name | SHERRY WILDEBOER MACALUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 2537) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: SC 3067) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |