| NPI | 1881055648 |
|---|---|
| Former Name | SAMANTHA ANN HEARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102169) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161795) |
| 101YM0800X Counselor Mental Health (Licence: OH C.1500806) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-03-11 |