NPI | 1598349201 |
---|---|
Former Name | SAMANTHA BAGGOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012939) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012939) |
Enumeration Date | 2021-05-09 |
Last Update Date | 2024-03-18 |