NPI | 1720597859 |
---|---|
Former Name | SAMANTHA HELENA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C12071214) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2023-07-27 |