| NPI | 1851630289 |
|---|---|
| Former Name | AMANDA L KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1302149) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1000827) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-02-17 |