NPI | 1982988036 |
---|---|
Former Name | PAMELA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6155-125) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-10-07 |
Last Update Date | 2024-09-04 |