NPI | 1346606159 |
---|---|
Former Name | BASIRATU NIKAY FOWORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 101ymo800x) |
Enumeration Date | 2016-01-08 |
Last Update Date | 2022-06-10 |