| NPI | 1164159331 |
|---|---|
| Former Name | BROOKE RITA FUSCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: VA 0810008400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008400) |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2025-07-01 |