| NPI | 1871251579 |
|---|---|
| Former Name | PATTI JUNE ARCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00454310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0009608) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |