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 |