NPI | 1619562188 |
---|---|
Former Name | SAMANTHA JO LECHENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023234) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137538) |
Enumeration Date | 2021-03-05 |
Last Update Date | 2024-08-07 |