NPI | 1275131922 |
---|---|
Former Name | ELIZABETH ROSE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10350) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2020-10-14 |
Last Update Date | 2025-09-12 |