| NPI | 1255547832 |
|---|---|
| Former Name | MARGARET ELAINE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 06100) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |