| NPI | 1306192315 |
|---|---|
| Former Name | STEPHANIE D EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2017-03-21 |