| NPI | 1417572181 |
|---|---|
| Former Name | AMY JO BRUNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010957) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6352000102) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-07-12 |