| NPI | 1578908802 |
|---|---|
| Former Name | STEPHANIE MARIE LOWDEN BEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60509757) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60345432) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-03-22 |