| NPI | 1689162547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BETH DIERSTEIN Owner/Therapist 757-630-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-05-30 |