| NPI | 1568844793 |
|---|---|
| Former Name | HOLLY M RUSINKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9053) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003586) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-07-21 |