NPI | 1205354776 |
---|---|
Former Name | NAKISHA EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124755) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 19662) |
1041C0700X Social Worker, Clinical (Licence: OH I.2405152) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-06 |
Last Update Date | 2024-04-18 |