| NPI | 1114796216 |
|---|---|
| Other Name | LA TORIA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-155285) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |