Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC2577 | MD |
N | 101YS0200X | School Counselor | PPS0601066 | VA |
NPI | 1154606705 |
---|---|
Provider Name | Robin Denise Brown |
First Address | Burke, VA 22015-2416 |
Second Address | Burke, VA 22015-2416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2011 |
Last Update Date | 14/10/2011 |