| 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 |