| NPI | 1194030148 |
|---|---|
| Former Name | ALLYSON BROOKE BUICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 68099) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2020-01-17 |