| NPI | 1922488204 |
|---|---|
| Former Name | CHRISTINA WAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-21-166622) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KS 48-1284401) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-01-10 |