| NPI | 1760810394 |
|---|---|
| Former Name | SAFIYAH R DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11957) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW11957) |
| 104100000X Social Worker (Licence: NJ 44sl05647500) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2022-07-19 |