| NPI | 1184208852 |
|---|---|
| Former Name | SAMANTHA LEE GODIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6781) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |