NPI | 1326617473 |
---|---|
Former Name | TUWANA T EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21897) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012576) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-08-24 |