| NPI | 1154686590 |
|---|---|
| Former Name | ANISSA KEYES BEASLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23288) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-05-08 |