| NPI | 1114581196 |
|---|---|
| Former Name | ROBIN WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 77801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 77801) |
| 101YP2500X Counselor, Professional (Licence: TX 77801) | |
| 101YS0200X Counselor, School (Licence: TX 1772725) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-08-21 |