| NPI | 1417801820 |
|---|---|
| Former Name | HEATHER BEESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3267) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1521-1-15-26A) |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |