| NPI | 1437572971 |
|---|---|
| Former Name | STEPHANIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013620) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-11-15 |