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 |