| NPI | 1639776594 |
|---|---|
| Former Name | SAMANTHA POCHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24475) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-10-23 |