| NPI | 1508439670 |
|---|---|
| Former Name | SAMANTHA HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173789) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-01-04 |