NPI | 1043357841 |
---|---|
Former Name | JOYCE K RUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 2484) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 436) |
101YS0200X Counselor, School | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-12-05 |