| NPI | 1154191609 |
|---|---|
| Former Name | STAR HESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 15160) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1131) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |