| NPI | 1336547967 |
|---|---|
| Former Name | WENDY MICHELE MAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA 60455199) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-13 |