| NPI | 1831113372 |
|---|---|
| Former Name | PAMELA J. HENKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 616-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1066) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-04-17 |