| NPI | 1417308487 |
|---|---|
| Former Name | CHRISTINA MARIE RUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW15754) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-12-12 |