NPI | 1194310920 |
---|---|
Professional Name | BETHANY JURAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014724) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178013846) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2022-09-15 |