Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003110339 |
---|---|
Provider Name | Pamela S Brunelli |
First Address | Indiana, PA 15701-1372 |
Second Address | Du Bois, PA 15801-1152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2010 |
Last Update Date | 30/12/2010 |