| NPI | 1306283627 |
|---|---|
| Former Name | MALISSA SUE BEASLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013013900) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2017030438) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2026-02-12 |