Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC7242 | MD |
NPI | 1003361023 |
---|---|
Provider Name | Ms. Elana Woolf |
First Address | Rockville, MD 20850-1714 |
Second Address | Rockville, MD 20850-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2016 |
Last Update Date | 19/08/2016 |