| NPI | 1831666551 |
|---|---|
| Former Name | JACQUELINE CHRISTINE CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61582126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11855) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2025-02-10 |