| NPI | 1316326531 |
|---|---|
| Former Name | EVAN LYNNE RUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013876) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001161) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-03-28 |