NPI | 1699756817 |
---|---|
Former Name | WENDY LEE WESCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 004201) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6366) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2018-08-22 |