| NPI | 1598295560 |
|---|---|
| Former Legal Business Name | HOLLY RUSINKO |
| Entity Type | Organization |
| Authorized Contact | HOLLY SCHILLING Psychologist 701-330-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9053) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-08-07 |