| NPI | 1568760973 |
|---|---|
| Former Name | PAMELA JILL MATICAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 084543-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12586) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-11-09 |