NPI | 1699885921 |
---|---|
Other Name | PAM J. MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0502010) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 729-C) |
146N00000X Emergency Medical Technician, Basic (Licence: AR 17944) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |