| NPI | 1922301738 |
|---|---|
| Former Name | SAMANTHA L PUCHACZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 5581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 241332) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2025-10-01 |