| NPI | 1174993554 |
|---|---|
| Former Name | SAMANTHA KATHRYN ZOMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PAT-077) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2021-02-15 |