| NPI | 1922443308 |
|---|---|
| Former Name | LAURA L BEAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A9991) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3240-A) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-07-21 |