| NPI | 1043695521 |
|---|---|
| Former Name | MADYSON RUSHING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2018-10-01 |