| NPI | 1366153116 |
|---|---|
| Former Name | CASEY LOUISE PAINTER-SAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 2127) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1221) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-11-02 |