| NPI | 1811652837 |
|---|---|
| Former Name | BROOKE PAIGE DECKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026326) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114535) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2025-09-17 |