NPI | 1558869545 |
---|---|
Former Name | LEAH C WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18331) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW14020) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2020-02-08 |