| NPI | 1023899465 |
|---|---|
| Former Name | MARGIELYN BUZZARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07129-I) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-11-21 |