NPI | 1730733601 |
---|---|
Former Name | VALERIE DENISE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X |
Additional Taxonomies | 101YP2500X Counselor, Professional |
175T00000X Peer Specialist | |
Enumeration Date | 2019-07-30 |
Last Update Date | 2021-10-14 |