| NPI | 1467427658 |
|---|---|
| Former Name | DENISE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005473A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14522) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-11-21 |