NPI | 1245489319 |
---|---|
Former Name | PAMELA JB LUCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104161) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2008-09-15 |
Last Update Date | 2017-01-23 |