| NPI | 1043706690 |
|---|---|
| Former Name | MARY KATHRYN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61323093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60823056) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-02-14 |