| NPI | 1417083056 |
|---|---|
| Former Name | ANNE WEZWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105708) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |