Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH5296 | FL |
NPI | 1003065467 |
---|---|
Provider Name | Ms. Elizabeth J Davies |
First Address | Deerfield Beach, FL 33064 |
Second Address | Pompano Beach, FL 33069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |