| NPI | 1538220181 |
|---|---|
| Former Name | BONITA BUZZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 895LCPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 27880MFT) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |