| NPI | 1417138504 |
|---|---|
| Former Name | BRIDGET MARY CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA sw124475) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2022-07-27 |