| NPI | 1871994756 |
|---|---|
| Former Name | SAMANTHA GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10352) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-09-21 |