| NPI | 1144990912 |
|---|---|
| Former Name | JESSICA BEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16529-132) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |