| 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 | 2024-11-20 |