NPI | 1952498297 |
---|---|
Other Name | VIRGINIA WOLFE COTHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3030) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3030) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2011-09-09 |