| NPI | 1750557773 |
|---|---|
| Former Name | PAMELA MICHELLE TOWNSEND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9532-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1008-121) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2023-07-26 |