NPI | 1841658614 |
---|---|
Other Name | SAMANTHA ELIZABETH COYPHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71924) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71924) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2025-03-07 |