| NPI | 1770080079 |
|---|---|
| Former Name | MELANIE ANN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162486) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005190) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-02-28 |