NPI | 1154659050 |
---|---|
Former Name | SAMANTHA LANKFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64860) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 26926) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2020-04-26 |