| NPI | 1780367979 |
|---|---|
| Former Name | SAMANTHA LAURO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 16117) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135962) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-11-08 |