| NPI | 1992979991 |
|---|---|
| Former Name | STEPHANIE D COHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000683) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |