| NPI | 1619521325 |
|---|---|
| Former Name | SAMANTHA BECKELHIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7274) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2728) |
| 101YM0800X Counselor, Mental Health (Licence: NC 14908) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-06-21 |