| NPI | 1982941597 |
|---|---|
| Former Name | BRANDY LYNN KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-06-12 |