NPI | 1083820211 |
---|---|
Former Name | BETH ANN EVARTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-11805) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-11805) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2017-04-23 |