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 |