| NPI | 1366929747 |
|---|---|
| Former Name | SHANNON OCONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 125829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125829) |
| 104100000X Social Worker (Licence: MA 225686) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-01-18 |