| NPI | 1306166368 |
|---|---|
| Former Name | SAMANTHA HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1802019) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AL A1502036) |
| 101YM0800X Counselor Mental Health (Licence: AR A1502036) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2018-02-28 |