| NPI | 1801160619 |
|---|---|
| Former Name | DEBORAH MOORE BEAZLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120796) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00943338) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35651) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-02-23 |