| NPI | 1629123625 |
|---|---|
| Former Name | SAMANTHA ANN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 834) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 166494) |
| 101YP2500X Counselor, Professional (Licence: KY 105683) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-10-18 |