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 |