NPI | 1275076978 |
---|---|
Former Name | PAMELA ANN-KIPP WEMTZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2016-11-29 |
Last Update Date | 2022-03-25 |