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 |