| NPI | 1144661778 |
|---|---|
| Former Name | PAMELA LORENE FOUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003296A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 1282264) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |