| NPI | 1609363480 |
|---|---|
| Former Name | SAMANTHA JO SGROI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115084) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-02-28 |