| NPI | 1255865440 |
|---|---|
| Former Name | NATASHA MARIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P011427) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00944949) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2018-03-17 |