| NPI | 1063818698 |
|---|---|
| Former Name | STEPHANIE SCHWANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 6401011314) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2023-07-27 |