NPI | 1750699955 |
---|---|
Former Name | PAMELA KAY DELUCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801017893) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005289) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |