NPI | 1487230108 |
---|---|
Former Name | AMANDA RENEE BRUCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305323) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-05-13 |