| NPI | 1578048625 | 
|---|---|
| Former Name | STEPHANIE ANNE BREST | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1042-11-15-19A)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| Enumeration Date | 2018-09-25 | 
| Last Update Date | 2020-08-26 |