| NPI | 1902057268 |
|---|---|
| Former Name | PAMELA CREPPS WACHTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009991) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2019-05-31 |