| NPI | 1104299288 |
|---|---|
| Former Name | AMY BRUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-974) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-02-24 |