| NPI | 1417136904 |
|---|---|
| Former Name | ELIZABETH ANNE EIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 008790) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075986-1) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2024-01-29 |