NPI | 1841200904 |
---|---|
Former Name | PAMELA JO HOGGATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004957) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180004957) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-01-23 |