| NPI | 1104826171 |
|---|---|
| Former Name | EMILY SUE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 7380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL 7380) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-11-04 |