| NPI | 1003520354 |
|---|---|
| Former Name | CHRISTIE L EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.189297) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-10-03 |