| NPI | 1841697604 |
|---|---|
| Former Name | SAMANTHA CHRISTINE GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA L60630652) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60508150) |
| 106H00000X Marriage & Family Therapist (Licence: WA CG60508150) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2023-11-27 |