| NPI | 1508857186 |
|---|---|
| Former Name | ELLEN SEAN O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW 002874) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-002139) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-05-22 |