NPI | 1861147019 |
---|---|
Other Name | ANGELIQUE ANASTASIA BEAUCHENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-02-16 |