| NPI | 1831421684 |
|---|---|
| Other Name | ANGIE S DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 15493798) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |