| NPI | 1972587202 |
|---|---|
| Former Name | LINDA JANE LEVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C 000058 LCSW) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 014 LMFT) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-07-26 |