Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 0810003716 | VA |
NPI | 1003993130 |
---|---|
Provider Name | Emi Furukawa |
First Address | Falls Church, VA 22046-3220 |
Second Address | Falls Church, VA 22046-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |