| NPI | 1639519234 |
|---|---|
| Former Name | BRITTANY JANNA BUNDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 104084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1224) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-07-27 |