NPI | 1336320993 |
---|---|
Former Name | PAMELA VERNACE STRENING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 102918) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 102918) |
103TA0700X Psychologist, Adult Development & Aging (Licence: NC 102918) | |
Enumeration Date | 2007-11-23 |
Last Update Date | 2016-12-21 |