| NPI | 1255963765 | 
|---|---|
| Former Name | SAMANTHA MENARD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00754) | 
| Enumeration Date | 2020-02-12 | 
| Last Update Date | 2025-10-17 |