NPI | 1578714788 |
---|---|
Other Name | KIMBERLY DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0508052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P0508052) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2019-03-16 |