| NPI | 1689639387 |
|---|---|
| Former Name | PAMELA GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY LCSW141801PRO) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY LCSW141801PRO) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |