| 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 |