NPI | 1770605057 |
---|---|
Former Name | ADRIAN MICHELLE BUFKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1302009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 09-01AE-PL) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2023-02-07 |