| NPI | 1619614427 |
|---|---|
| Former Name | STEPHANIE DEETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2025-12-15 |