| NPI | 1598055535 |
|---|---|
| Former Name | HANNAH WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI L1864782) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-01-11 |