| NPI | 1679921464 |
|---|---|
| Former Name | VICTORIA LOUISE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1901507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016204) |
| 101YP2500X Counselor, Professional (Licence: OH C.1801447) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-04-22 |