| NPI | 1770669004 |
|---|---|
| Professional Name | ELLEN RENEE GORDEN BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW00721) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 107509) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2007-07-08 |