| NPI | 1598075491 |
|---|---|
| Former Name | EMILY BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006446) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2016-01-06 |