| NPI | 1073047783 |
|---|---|
| Former Name | AUDREY DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23719) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928823) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-08-05 |