| NPI | 1265746390 |
|---|---|
| Former Name | JESSICA JOTTNIECE RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 28633) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-09-14 |