NPI | 1861518078 |
---|---|
Former Name | JEAN CRAWFORD GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701000930) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000562) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2016-08-18 |