NPI | 1154936813 |
---|---|
Former Name | SAMANTHA SWOPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC016388) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2024-06-06 |