NPI | 1003359753 |
---|---|
Former Name | SAMANTHA M TEGNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-11-29 |
Last Update Date | 2020-01-27 |