NPI | 1295514487 |
---|---|
Former Name | MICHAELA ANNE BEALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0022475) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178019379) |
Enumeration Date | 2023-09-26 |
Last Update Date | 2025-08-13 |