| NPI | 1013503713 |
|---|---|
| Other Name | BETSY DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106015) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01402) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-10-19 |