NPI | 1427358308 |
---|---|
Other Name | KRISTIE NONE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4267) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4267) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2019-06-10 |