NPI | 1295233377 |
---|---|
Former Name | SAMANTHA ST. CLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-01-24 |
Last Update Date | 2024-01-26 |