| NPI | 1710972732 |
|---|---|
| Former Name | LYVIER L BUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 040089) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00699) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |