NPI | 1558081729 |
---|---|
Other Name | SAMANTHA BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0020773) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC6291) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2025-06-20 |