| NPI | 1053712257 |
|---|---|
| Former Name | EVYN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1902299) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161767) |
| 101YP2500X Counselor, Professional (Licence: MI 6401015075) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-05-09 |