NPI | 1003381732 |
---|---|
Other Name | STEPHANIE LANDERS FORREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 149) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2018-10-09 |