| NPI | 1437982220 |
|---|---|
| Former Name | SAMANTHA POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0021570) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000355) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2026-06-18 |