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 |