| NPI | 1467141887 |
|---|---|
| Other Name | TINA STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: VA 2476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |