| NPI | 1841543113 |
|---|---|
| Former Name | JODI RUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MO SChool Psychologist) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 2012002507) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |