| NPI | 1518134014 |
|---|---|
| Former Name | PAMELA L LARDINOIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8375-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15270) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-02-11 |