NPI | 1720708852 |
---|---|
Other Name | BRANDI DAVIS |
Entity Type | Organization |
Authorized Contact | BRANDI ROXANNE DAVIS Owner 310-999-9055 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |