Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 00113115 | IL |
NPI | 1316582893 |
---|---|
Provider Name | Ruth Cohen |
First Address | Rochester, NY 14607-4000 |
Second Address | Rochester, NY 14607-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2019 |
Last Update Date | 08/11/2019 |