| NPI | 1265838163 |
|---|---|
| Former Name | SAMANTHA L PIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC6174) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC5182) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2016-12-19 |