| NPI | 1942617097 |
|---|---|
| Other Name | MISSY DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401014170) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL TPMC4504) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-05-09 |