| NPI | 1760896880 |
|---|---|
| Former Name | AMBER BUNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 242649) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 166576) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-10-27 |