| NPI | 1356081939 |
|---|---|
| Former Name | MELISSA RAE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20243) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-06-05 |