| NPI | 1548694805 |
|---|---|
| Former Name | AMANDA REYNE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |