| NPI | 1538527700 |
|---|---|
| Former Name | SAMANTHA NICOLE CARNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC006696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12038) |
| 101YP2500X Counselor, Professional (Licence: NC A12038) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2018-10-18 |