| NPI | 1417211269 |
|---|---|
| Other Name | LESTINE T DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65349) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX Grades EC-12) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6979) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2014-12-09 |