NPI | 1598148504 |
---|---|
Other Name | SAMANTHA MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001429) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2676) |
106H00000X Marriage & Family Therapist (Licence: KS 2810) | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2022-09-15 |