| NPI | 1376980235 |
|---|---|
| Former Name | DIERDRA L. ORETADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008539) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011859) |
| 1041C0700X Social Worker, Clinical (Licence: NJ NJDCATEMP-047583) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06099300) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-10-18 |