| NPI | 1093835183 |
|---|---|
| Former Name | SAMANTHA MATNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5290) |
| Additional Taxonomies | 104100000X Social Worker |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN 5290) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-04-28 |