| NPI | 1013521350 |
|---|---|
| Former Name | DAVENA LIMITLESS LONGSHORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744R1102X Specialist Research Study |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TF0200X Psychologist Forensic | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-09-27 |