| NPI | 1326591785 |
|---|---|
| Former Name | SAMANTHA PIERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 17903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 17903) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-08-16 |