NPI | 1952769499 |
---|---|
Former Name | MEGAN WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-36904) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID 33563) |
104100000X Social Worker (Licence: ID 33563) | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2018-06-26 |