| NPI | 1124791843 |
|---|---|
| Former Name | KRISTIN M WILMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 1012025391) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-08-07 |