| NPI | 1477088870 |
|---|---|
| Former Name | SAMANTHA FIALKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106396) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-05-03 |