| NPI | 1225212293 |
|---|---|
| Former Name | MICHELLE CHIEKO WACHHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-07-06 |