| NPI | 1447644398 |
|---|---|
| Former Name | KATELYN CHRISTINA BEALS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301015429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014746) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |