| NPI | 1982952420 |
|---|---|
| Former Name | SAMANTHA STUPAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH13694) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-08-03 |