| NPI | 1376802280 |
|---|---|
| Former Name | ANNE ELIZABETH WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14187) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-06-29 |