| NPI | 1033328166 |
|---|---|
| Former Name | AIMEE NICOLE RUSTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013685) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012948) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-06-16 |