NPI | 1205021680 |
---|---|
Former Name | CASSANDRA LYNN TYSON-BEERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0800) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-09-10 |
Last Update Date | 2023-11-05 |