| 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 |