NPI | 1790284800 |
---|---|
Other Name | KATIE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA 0011029) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC005428) |
Enumeration Date | 2018-02-04 |
Last Update Date | 2022-10-25 |