Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 0813000262 | VA |
NPI | 1053814608 |
---|---|
Provider Name | Ms. Ursula Rocha |
First Address | Alexandria, VA 22304-2707 |
Second Address | Alexandria, VA 22314-1693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2018 |
Last Update Date | 09/03/2018 |