| NPI | 1184232225 |
|---|---|
| Former Name | DANNARAE STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-06-10 |