| NPI | 1821583378 |
|---|---|
| Former Name | SAMANTHA MENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW130685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100150) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-06-25 |