| NPI | 1730439365 |
|---|---|
| Former Name | SAMANTHA TAYLOR BYNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2360) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 78117) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2022-06-14 |