| 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 |