| NPI | 1689816662 |
|---|---|
| Former Name | ANITA ANN WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 0837521) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083752-1) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2014-11-20 |