NPI | 1497487391 |
---|---|
Former Name | SHAYLYNN NICOLE RUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2506771-TRNE) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2022-06-29 |
Last Update Date | 2025-07-02 |