| NPI | 1053468207 |
|---|---|
| Former Name | PAMELA HAUKENESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1504.11846) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1504.11846) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-08-08 |