NPI | 1962533687 |
---|---|
Other Name | BONNIE BUCK LUFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0498) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS TO113) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |