| NPI | 1669535464 |
|---|---|
| Former Name | JACQUELINE ANN O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW - 12020) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-19 |