| 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 |