NPI | 1871702845 |
---|---|
Former Name | PAMELA LOMAX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2745) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-05-22 |
Last Update Date | 2010-09-01 |