NPI | 1376992099 |
---|---|
Former Name | CAITLYN C BUSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001229) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-11-25 |