NPI | 1699360966 |
---|---|
Former Name | JENNIFER BEEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02772) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305957) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2022-12-19 |