| NPI | 1942667324 |
|---|---|
| Former Name | SAMANTHA NICOLE GUISASOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |