| NPI | 1073390555 |
|---|---|
| Former Name | ALLISON DENISE ELDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113941) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-07-15 |