NPI | 1891129680 |
---|---|
Former Name | KEMISHA A DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2717) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 2577) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |