Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1023299302 |
---|---|
Provider Name | Victoria Jean Barrios |
First Address | West Roxbury, MA 02132-1537 |
Second Address | West Roxbury, MA 02132-1537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2007 |
Last Update Date | 15/11/2007 |