NPI | 1730462201 |
---|---|
Other Name | TENLEY L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1303604-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161011) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2023-08-15 |