| NPI | 1578807236 |
|---|---|
| Former Name | STEPHANIE L RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 010775) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2023-06-20 |