| NPI | 1457838476 |
|---|---|
| Former Name | SAMANTHA NAOMI KEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118547) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii057420518) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-08-25 |