| NPI | 1538537410 |
|---|---|
| Former Name | TRACEY O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 095441) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-10-27 |