NPI | 1679260848 |
---|---|
Former Name | WENDY DAGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC003783L) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-04-25 |