| NPI | 1578693156 |
|---|---|
| Former Name | JANE A RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20043443A) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: IN 20043443A) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-04-30 |