| 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 |