NPI | 1215015227 |
---|---|
Former Name | FELECIA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73903) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8670) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-03-27 |