NPI | 1972001717 |
---|---|
Professional Name | SAMANTHA MERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 128572) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304254) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2018-01-26 |