NPI | 1093039927 |
---|---|
Former Name | DIANA BUSBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN84711) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2024-08-09 |