| NPI | 1891335956 |
|---|---|
| Former Name | SAMANTHA MARIE GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 15-070) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |