| NPI | 1750713558 |
|---|---|
| Former Name | SAMANTHA OUSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3672C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3017G) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-03-15 |