| 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 |