| NPI | 1548611528 |
|---|---|
| Professional Name | BARBARA ANNE PETTWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |