| NPI | 1588061899 |
|---|---|
| Former Name | MARILYN MARIE BEARDSLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC5008180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095727) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2022-07-21 |