| NPI | 1154669042 |
|---|---|
| Former Name | AMANDA LEE BUNTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 06011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2025-06-03 |