NPI | 1386290864 |
---|---|
Former Name | SAMANTHA J HARLEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MA60949476) |
225700000X Massage Therapist (Licence: WA MA60949476) | |
Enumeration Date | 2019-08-12 |
Last Update Date | 2022-04-12 |