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 |