NPI | 1205283611 |
---|---|
Former Name | PAMELA MARIE ZAFFKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02636) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 131030) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2025-09-10 |