| NPI | 1982939468 |
|---|---|
| Other Name | LORI DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7577) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1525) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2017-05-11 |