| NPI | 1932596079 |
|---|---|
| Former Name | BRUCE MITCHELL EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11168) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2025-07-30 |