| NPI | 1639769912 |
|---|---|
| Other Name | SAMANTHA EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022030456) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR A2203018) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-08-10 |