| NPI | 1699195693 |
|---|---|
| Former Name | REBECCA LYNNE BEALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1000-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2582) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-01-09 |