NPI | 1457723348 |
---|---|
Former Name | SAMANTHA KAMBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110387) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088775) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2022-01-04 |