NPI | 1972802635 |
---|---|
Former Name | DANAH ALEXANDRA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC84078) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-03-21 |
Last Update Date | 2015-01-22 |