| NPI | 1235711466 |
|---|---|
| Former Name | SAMANTHA REINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00636900) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023970-01) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |