Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 4602 | NC |
NPI | 1033694781 |
---|---|
Provider Name | Dr. Virginia Kate Proffit |
First Address | Apex, NC 27502-1824 |
Second Address | Apex, NC 27502-1824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2018 |
Last Update Date | 08/12/2021 |