NPI | 1962557546 |
---|---|
Former Name | DONNA LYNN EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10000512) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0650921) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |