| NPI | 1265740054 |
|---|---|
| Former Name | CRYSTAL RUSK-TREMBLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 174800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1000088) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-12-09 |