| NPI | 1457831828 |
|---|---|
| Former Name | SAMANTHA ELIZABETH SCHEIDLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6512) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-06-26 |