NPI | 1790237279 |
---|---|
Former Name | JULIE ELDREDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37373) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37068) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2024-09-25 |