Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101Y00000X | Counselor | LGP6621 | MD |
N | 101YP1600X | Pastoral Counselor | LGP6621 | MD |
NPI | 1063958791 |
---|---|
Provider Name | Elaine M. Hill |
First Address | Severn, MD 21144-3344 |
Second Address | Severn, MD 21144-3344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 19/01/2017 |