| NPI | 1316447907 |
|---|---|
| Former Name | ALYSCIA LEAH ARIEL DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121851) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 106532) |
| 101YM0800X Counselor, Mental Health (Licence: CA 106532) | |
| 104100000X Social Worker (Licence: OH S.1801981) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-09-22 |