| NPI | 1093139123 |
|---|---|
| Former Name | PAMELA LUCEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC 0002946) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC0005570) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |