| NPI | 1164564167 |
|---|---|
| Former Name | KAREN MARIE DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1007) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-05-03 |