NPI | 1275217416 |
---|---|
Professional Name | SELENA C BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020679) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29910) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2024-06-14 |