| NPI | 1962980888 |
|---|---|
| Former Name | SAMANTHA JO BROCKMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507429) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.169590) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-11-07 |