| NPI | 1346515947 |
|---|---|
| Former Name | MICHELLE WILMOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2015-05-11 |