| NPI | 1912551201 |
|---|---|
| Former Name | JOANIE HINDS WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 118122) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-02-06 |