| NPI | 1558869867 |
|---|---|
| Former Name | NANCY WILDHAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C2002794) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-11-20 |