| NPI | 1801257787 |
|---|---|
| Former Name | SAMANTHA ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010218) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2023-12-19 |