| NPI | 1578395539 |
|---|---|
| Former Name | VIRGINIA LEE FROST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5878) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2165) |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1738) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-12-31 |