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