| NPI | 1659576676 |
|---|---|
| Former Name | SANDRA ELIZABETH WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS15413) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-12-23 |