| NPI | 1972095057 |
|---|---|
| Former Name | SAMANTHA MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016667) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016667) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-09-07 |