| NPI | 1174959969 |
|---|---|
| Former Name | TRINA B. DAVIS-FORTUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16-703) |
| 1041C0700X Social Worker, Clinical (Licence: TN 6602) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1435) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-04-14 |