| NPI | 1932370418 |
|---|---|
| Former Name | SAMANTHA MARIA PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92565) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA 92565) | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2022-09-06 |