| NPI | 1417645987 |
|---|---|
| Former Name | SAMANTHA KOVAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016804) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.019041) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-04-12 |