| 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 |