| NPI | 1104466176 |
|---|---|
| Former Name | AMANDA M AINSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-07-26 |