| NPI | 1306338546 |
|---|---|
| Former Name | MAGGIE A WANSACK |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014183) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800736-SUPV) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-12-16 |