| NPI | 1770047029 |
|---|---|
| Former Name | PAULA MARIE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C039120816) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-11-25 |