| NPI | 1982933479 |
|---|---|
| Former Name | STEPHANIE I SCHUSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15542-131) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2011-02-04 |