NPI | 1770176240 |
---|---|
Former Name | SAMANTHA LORAINE BAPTISTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014851) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014362) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2022-08-11 |