NPI | 1376932897 |
---|---|
Former Name | KRISTINA LOUISE SAMARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-01-21 |
Last Update Date | 2020-12-11 |