NPI | 1427346105 |
---|---|
Former Name | ASHLEY ANN EIDMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CO 09926910) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-07-15 |
Last Update Date | 2021-03-25 |