| NPI | 1548871379 |
|---|---|
| Other Name | EVELYN DARLENE MALLORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-02-24 |