| NPI | 1245440866 |
|---|---|
| Former Name | LAURA MICHELLE WILMOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12856) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-07-25 |