NPI | 1154767937 |
---|---|
Former Name | SARA RYAN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004565) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-05-20 |
Last Update Date | 2018-12-27 |