| NPI | 1811070840 |
|---|---|
| Former Name | KAREN DOROTHY PEDTKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004091) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00004091) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW09928602) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW21754) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-11-13 |