| NPI | 1902430606 |
|---|---|
| Former Name | TRISHA BRONDYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12777) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150111004) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149029967) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2026-06-17 |