NPI | 1548953615 |
---|---|
Former Name | SAMANTHA ARIN OSTACHNOWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH SP.00713) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000001108205) |
103TS0200X Psychologist, School (Licence: OH OH3225693) | |
Enumeration Date | 2023-06-02 |
Last Update Date | 2023-06-02 |