NPI | 1457864555 |
---|---|
Former Name | SAMANTHA S. CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506363) |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker (Licence: OH S.1601298) | |
Enumeration Date | 2017-11-10 |
Last Update Date | 2025-03-06 |