| NPI | 1174084545 |
|---|---|
| Former Name | SAMANTHA STURDEVANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-02-26 |