| NPI | 1558612440 |
|---|---|
| Former Name | CAMILLA BECKSTEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 2012-024) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-06-29 |