| NPI | 1124447693 |
|---|---|
| Former Name | DAVINA FESSLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2622) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11674) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2496) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-09-21 |