NPI | 1740456524 |
---|---|
Former Name | EVE NICOLE DEVITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29210) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2022-07-21 |