| NPI | 1285196543 |
|---|---|
| Other Name | ANNA C WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-04-17 |