| NPI | 1184141996 |
|---|---|
| Former Name | ALLISON ANN WAEGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11982) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-11-12 |