| NPI | 1912551201 |
|---|---|
| Former Name | JOANIE HINDS WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1099) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: IA 118122) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2025-02-09 |