| NPI | 1316075104 |
|---|---|
| Other Name | PAMELA RUTH BURRIDGE ROSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP0260) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 232) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-09 |