NPI | 1306339379 |
---|---|
Former Name | ROBIN LYNN BEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-14253) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3745) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-13 |