NPI | 1992901144 |
---|---|
Former Name | MAGGIE JANE BEATTIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0835) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T0835) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2022-05-04 |