| 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 |