| NPI | 1194911792 |
|---|---|
| Former Name | KATHERINE BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37284) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 5062A) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-03-22 |