| NPI | 1356619522 |
|---|---|
| Former Name | PAMELA EGGLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5460) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2020-04-15 |