NPI | 1043788938 |
---|---|
Former Name | JADE ROCHELLE BUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 00000014061) |
Additional Taxonomies | 104100000X Social Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-11-08 |
Last Update Date | 2025-03-25 |