NPI | 1275076135 |
---|---|
Former Name | LINDA ANN PURVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001085) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101467) |
101YP2500X Counselor, Professional (Licence: VA 0701003300) | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-03-18 |