| NPI | 1902372311 |
|---|---|
| Former Name | MALLORY JAYMES BEERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66515) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-11-09 |