NPI | 1760702971 |
---|---|
Other Name | AMANDA BRUNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3908) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0852) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2017-04-06 |