| NPI | 1164285235 |
|---|---|
| Former Name | SAMANTHA ROTHENHAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451024032) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-02-24 |