| NPI | 1356743371 |
|---|---|
| Former Name | SAMANTHA ROSE MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096820) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI L306685) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03159) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-04-07 |