| NPI | 1700913803 |
|---|---|
| Former Name | JAMIE BUNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007014793) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-09-24 |