NPI | 1326192279 |
---|---|
Former Name | BARBARA R DAVIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018601) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004368) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2018-04-05 |