| NPI | 1114429727 |
|---|---|
| Former Name | AMANDA LYNNE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2021-06-14 |