NPI | 1609427483 |
---|---|
Former Name | DAYNA RUST BUXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002250) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 5756424-3902) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2022-10-10 |