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 |