NPI | 1679104491 |
---|---|
Former Name | REBECCA NICOLE VRLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018109) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00116653) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |