| NPI | 1467566760 |
|---|---|
| Former Name | SHARON L WAGENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NY 008901) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 008901-1) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-08-19 |