NPI | 1225783319 |
---|---|
Former Name | SAMANTHA ENGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 106S00000X Behavior Technician |
172V00000X Community Health Worker | |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-02-16 |