NPI | 1356649073 |
---|---|
Former Name | DEBORAH LYNN BECKMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60128428) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: WA RE00000300) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-03-03 |