| NPI | 1477062602 |
|---|---|
| Former Name | KARIE MARIE BUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 16-04-05) |
| 101YM0800X Counselor Mental Health (Licence: OR R4216) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-03-09 |