| NPI | 1255964367 |
|---|---|
| Former Name | ANDREA GRACE BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005277A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2025-05-27 |