| NPI | 1932231891 |
|---|---|
| Former Name | PANSY DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S10914) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-1691) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-467) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 10914) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-07-17 |