NPI | 1669828588 |
---|---|
Former Name | DIANA BUCHHALTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089864-01) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-05-10 |
Last Update Date | 2023-07-31 |