| NPI | 1154741106 |
|---|---|
| Former Name | SAMANTHA ASHTON HEUERTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2018-01953) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-12-21 |