| NPI | 1619212578 |
|---|---|
| Other Name | PAMELA FONTENOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA LMFT 490) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA AN 005216) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |