| NPI | 1285037192 |
|---|---|
| Former Name | LEAH KATHRYN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8817-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000769) |
| 104100000X Social Worker (Licence: CO 00009920539) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924533) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-03-17 |