NPI | 1154148518 |
---|---|
Former Name | MELISSA JEAN EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 29298) |
Enumeration Date | 2024-09-25 |
Last Update Date | 2024-09-25 |