| NPI | 1891340469 |
|---|---|
| Former Name | KARIN RUSNAKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6428) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-09-27 |