| NPI | 1841777844 |
|---|---|
| Former Name | BAYLEA WAGENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74875) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-01-21 |