NPI | 1154046910 |
---|---|
Former Name | SAMANTHA ROSE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 104100000X Social Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-10-04 |
Last Update Date | 2024-10-08 |