NPI | 1306003363 |
---|---|
Former Name | JADA IAHRASHA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: AZ LM254) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001869A) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2022-07-29 |