NPI | 1225420615 |
---|---|
Former Name | CRISTIN MARIE EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 30979) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303931) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2024-11-05 |