| NPI | 1720687742 |
|---|---|
| Former Name | SHERITA N GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022749) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136162) |
| 101YM0800X Counselor, Mental Health (Licence: PA CW022749) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-12-18 |