| NPI | 1679862445 |
|---|---|
| Former Name | EDYTH WOOLDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2013044241) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2018-12-27 |