Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1184726010 |
---|---|
Provider Name | Ms. Deborah Grindrod Rollison |
First Address | Silver Spring, MD 20905-6054 |
Second Address | Silver Spring, MD 20903-1740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 08/07/2007 |