| NPI | 1215248232 |
|---|---|
| Former Name | KAREN PETTYJOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE 0000627) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-04-01 |