| NPI | 1265050819 |
|---|---|
| Former Name | PAMELA MATTHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC2624) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-03-22 |