| NPI | 1174914808 |
|---|---|
| Former Name | SAMANTHA CLOUTIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801102790) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2022-06-16 |