| NPI | 1750472585 |
|---|---|
| Former Name | PAMELA LYNN BLUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 641009443) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802058909) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |