| NPI | 1356684005 |
|---|---|
| Former Name | CHRISTIE DIANNE BEAUCHAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-08-16 |