| NPI | 1780775361 |
|---|---|
| Former Name | BAMBI LYNN FROST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 10656) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-02-21 |