| NPI | 1437469426 |
|---|---|
| Former Name | TAYLOR PETEKIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008944) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT C092015000642) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2015-10-23 |