NPI | 1376980235 |
---|---|
Former Name | DIERDRA L. ORETADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 33941) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008539) |
1041C0700X Social Worker, Clinical (Licence: NJ NJDCATEMP-047583) | |
1041C0700X Social Worker, Clinical (Licence: DE Q1-0011859) | |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC06099300) | |
1041C0700X Social Worker, Clinical (Licence: PA CW025321) | |
Enumeration Date | 2013-05-31 |
Last Update Date | 2025-10-07 |