| NPI | 1841522513 |
|---|---|
| Former Name | KATHY BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2010034145) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 150.002540) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2023-06-29 |