| NPI | 1457810665 |
|---|---|
| Former Name | SAMANTHA L BEHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01005) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |