| NPI | 1710460795 |
|---|---|
| Former Name | SAMANTHA CATHERINE MIOSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 0000004360) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 00004360) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |