| NPI | 1023263480 |
|---|---|
| Other Name | MARY PATRICIA BEATTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2449) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5567) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2016-12-29 |