| NPI | 1316453434 |
|---|---|
| Other Name | LAURA C DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc00511) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |