NPI | 1043360381 |
---|---|
Former Name | LORA ANN DAVIS-SCHUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1970) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003455) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2019-06-20 |