NPI | 1518737212 |
---|---|
Former Name | AARON J ELDRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2024-01-03 |
Last Update Date | 2025-03-03 |