| NPI | 1124042833 |
|---|---|
| Former Name | PAMELA ANN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1528-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 1115) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-07-27 |