Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | LCO149 | MD |
NPI | 1104844232 |
---|---|
Provider Name | Mrs. Eileen P Bernstein |
First Address | Potomac, MD 20854-6178 |
Second Address | Potomac, MD 20854-6178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |