| NPI | 1013416502 |
|---|---|
| Former Name | AMANDA BETH BUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18046) |
| 101YP2500X Counselor, Professional (Licence: VA 0701010058) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2025-04-21 |