| NPI | 1376297994 |
|---|---|
| Other Name | STEPHANIE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-09-20 |