| NPI | 1922756105 |
|---|---|
| Former Name | SAMANTHA MAZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20827) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17438) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-12-05 |