NPI | 1578338083 |
---|---|
Former Name | BRITTANY JEAN STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20364130) |
Enumeration Date | 2023-11-15 |
Last Update Date | 2023-12-19 |