NPI | 1952748634 |
---|---|
Former Name | SAMANTHA MORNEAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8295) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-06-04 |
Last Update Date | 2019-07-14 |