| NPI | 1659854107 |
|---|---|
| Former Name | ARIELLE WILDER EAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121791) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2023-09-22 |