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 |