| NPI | 1750733879 |
|---|---|
| Former Name | TEWONIA LEE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851103860) |
| Additional Taxonomies | 247200000X Technician, Other |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-08-02 |