| NPI | 1881260347 |
|---|---|
| Former Name | SYDENEIGH BEATTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P015034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016454) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-05-19 |