NPI | 1598170441 |
---|---|
Former Name | SHANIKA RO'SHA EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10834) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21910) |
Enumeration Date | 2014-06-29 |
Last Update Date | 2019-07-01 |