| NPI | 1285484659 |
|---|---|
| Former Name | TONI BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 25062051) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 8639) |
| 101Y00000X Counselor (Licence: SD 21148) | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-09-19 |