| NPI | 1144524984 |
|---|---|
| Former Name | JESSICA NICOLE KUSHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2015-02-06 |