| NPI | 1548661721 |
|---|---|
| Former Name | THEA BEANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24463) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024862) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2026-06-01 |