Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor |
NPI | 1114212420 |
---|---|
Provider Name | Ms. Sarah Faith Evans |
First Address | Owings Mills, MD 21117-7039 |
Second Address | Lutherville, MD 21093-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 15/06/2011 |