| NPI | 1134797582 |
|---|---|
| Former Name | MARY SAMANTHA ENGLISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 6233) |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2024-08-30 |