| NPI | 1497426597 |
|---|---|
| Former Name | SAMANTHA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14830) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-04-04 |