| NPI | 1851638381 |
|---|---|
| Other Name | JANE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA Sp 13359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13359) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2020-12-14 |