NPI | 1093118101 |
---|---|
Former Name | DEVON LAYSHENE BESHEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123947) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85635) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2024-02-14 |