| NPI | 1891213096 |
|---|---|
| Former Name | MOLLY K BEAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2018007648) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-03-25 |