| 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 |