| NPI | 1760565055 |
|---|---|
| Other Name | C JOANN BEATHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 34000509A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 34000509A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |