| NPI | 1285147884 |
|---|---|
| Former Name | SAMANTHA LAUREN CHAIKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119290) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102247) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-07-29 |