NPI | 1346004793 |
---|---|
Former Name | KATHRYN EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV MI4258) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07307-I) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-02-07 |