| NPI | 1295075463 |
|---|---|
| Former Name | MICHELLE NELSON WELLINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LH60970859) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2020-12-01 |