| NPI | 1356065957 |
|---|---|
| Former Name | BRANDI BECKWITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61303390) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |