NPI | 1598005035 |
---|---|
Former Name | KEYANA MONET BEAMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-02-20 |
Last Update Date | 2021-05-21 |