| NPI | 1952468829 |
|---|---|
| Former Name | KELLY GILL WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60445728) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 1880C) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-05-02 |