| NPI | 1003643552 |
|---|---|
| Former Name | STEPHANIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NM 1803) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-01-23 |