| NPI | 1255473690 |
|---|---|
| Former Name | SUMMERLYN ROBIN DAVISSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW-992722) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-12-01 |