| NPI | 1427760578 |
|---|---|
| Former Name | CAITLIN ALENE O'CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 31648) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013175) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2024-10-29 |