NPI | 1184902777 |
---|---|
Former Name | SAMANTHA BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-07-29 |
Last Update Date | 2023-11-27 |