| NPI | 1346603420 |
|---|---|
| Former Name | EVELYN WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 0010894) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 0010894) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |