| NPI | 1194593038 |
|---|---|
| Former Name | ANDREA BETH CALHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.70000547) | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2025-08-12 |