| NPI | 1316456239 |
|---|---|
| Former Name | SAMANTHA JEAN PELKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.004601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-03-03 |