NPI | 1164406948 |
---|---|
Other Name | BARBARA JOSPHINE PETTAVINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 6124) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 165125) |
1041C0700X Social Worker, Clinical (Licence: WI 1948123) | |
Enumeration Date | 2005-12-05 |
Last Update Date | 2025-09-11 |