| NPI | 1023705472 |
|---|---|
| Former Name | STEPHANIE NICOLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29054) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 26562) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-03-25 |