| NPI | 1871071084 |
|---|---|
| Former Name | LEAH DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C1902328) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1801102-TRNE) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-08-31 |