| NPI | 1619578911 |
|---|---|
| Former Name | SAMANTHA B BRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW123897) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-04-07 |