| NPI | 1518437185 |
|---|---|
| Former Name | SARAH PETTYJOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60891890) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-10-02 |