| NPI | 1235574633 |
|---|---|
| Other Name | EVA LEWIS SUPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10756) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2025-01-30 |