| NPI | 1932434271 |
|---|---|
| Former Name | LORI BETH SHUBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5010) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2016-06-09 |