| NPI | 1861165540 |
|---|---|
| Other Name | PATTY ETUE STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 175192) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |