NPI | 1629116876 |
---|---|
Other Name | TRISH MARIE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 99-03-47) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |