| NPI | 1407368889 |
|---|---|
| Former Name | TERESA DAWN BEATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014454) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014454) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2023-06-26 |