| NPI | 1215593777 |
|---|---|
| Other Name | TRACEY L. BEATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8314) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-04-26 |