NPI | 1215019526 |
---|---|
Other Name | MARY ELLEN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT37852) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000146) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |