| NPI | 1013493212 |
|---|---|
| Former Name | COURTNEY ANNE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021003919) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018022860) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-03-31 |