| NPI | 1831671031 |
|---|---|
| Former Name | BRIDGET REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06034000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 086354-1) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-06-01 |