| NPI | 1780259978 |
|---|---|
| Former Name | KATHERINE V DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010517) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103284) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |