NPI | 1669990875 |
---|---|
Other Name | MAGGIE EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 003791) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI PS01635) |
103TC0700X Psychologist Clinical (Licence: MA 10679) | |
Enumeration Date | 2017-09-07 |
Last Update Date | 2022-11-07 |