| NPI | 1629571559 |
|---|---|
| Former Name | STEPHANIE MICHELLE MESTERHEIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2022-04-26 |