| NPI | 1770527616 |
|---|---|
| Former Name | PATRICIA LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60503508) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20819) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-11-23 |