| 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 |