| NPI | 1407977648 |
|---|---|
| Former Name | MIRANDA KAY BUFFINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1802018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1503045) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-08-29 |