| NPI | 1841454675 |
|---|---|
| Former Name | RACHEL LEAH WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59675) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201495) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-10-14 |