| NPI | 1013923309 |
|---|---|
| Former Name | LAURA JEAN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 18968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25295) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-03-27 |