Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1245833516 |
---|---|
Provider Name | Rebecca Vil Vil Jean-Baptiste |
First Address | Brooklyn, NY 11210-2605 |
Second Address | Jamaica, NY 11434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 19/11/2020 |