| NPI | 1821379967 |
|---|---|
| Former Name | PAMELA SUE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11042) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |