NPI | 1467902890 |
---|---|
Former Name | JODI OHLIN DAVIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 92553296009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 92553296004) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2024-08-19 |