| NPI | 1932807286 |
|---|---|
| Former Name | STEPHANIE LESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 30128) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |