| NPI | 1891947404 |
|---|---|
| Former Name | TANYA BUNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 9530) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 9530) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2020-03-11 |