Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0904007134 | VA |
NPI | 1003144932 |
---|---|
Provider Name | Mrs. Kristin Elizabeth Scholl |
First Address | Bethesda, MD 20889-5600 |
Second Address | Mc Lean, VA 22102-2908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2009 |
Last Update Date | 05/03/2019 |