| NPI | 1548833437 |
|---|---|
| Former Name | SAMANTHA ESTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2305687) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-21-175947) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-01-02 |