| NPI | 1518317916 |
|---|---|
| Former Name | CHRISTINA MICHELLE RUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1598) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-06-15 |