| NPI | 1114793700 |
|---|---|
| Former Name | SAMANTHA HOPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY H01623920) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY H01623920) |
| 103TF0200X Psychologist, Forensic (Licence: KY H01623920) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-05-13 |