NPI | 1598082646 |
---|---|
Former Name | BUFFY KATE BACCHILEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105511) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF57092) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2019-05-20 |