NPI | 1356337760 |
---|---|
Other Name | PAMELA GAYLE OGORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 03071158) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2007-07-08 |