| 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 |