| NPI | 1942711007 |
|---|---|
| Former Name | STEVIE LYNN BEALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18075) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15806) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-01-19 |