| NPI | 1376831024 |
|---|---|
| Former Name | ANDREA MARIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18612) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-01-26 |