| NPI | 1801446471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA STURM Owner, Licensed Counselor 251-283-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-03-07 |