| NPI | 1487657557 |
|---|---|
| Former Name | TAMARA S BEIDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW004666) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2025-09-11 |