| NPI | 1306101530 |
|---|---|
| Former Name | KIMBERLY S DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2017-10-28 |