| NPI | 1811221898 |
|---|---|
| Former Name | CHERYL ANN SIDEROWF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 8998) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2022-05-20 |