NPI | 1144234931 |
---|---|
Former Name | DEBORAH DEE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801020118) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801020118) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-01-23 |