| NPI | 1003241787 |
|---|---|
| Former Name | VIRGINIA A. MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21278) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LCS21278) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCS21278) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |