| NPI | 1508037839 |
|---|---|
| Former Name | FLAVIA M HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 45) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |