NPI | 1114152907 |
---|---|
Former Name | MELISSA ANNE AINSLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 10-04E) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AR 1-09-5750) |
Enumeration Date | 2009-05-21 |
Last Update Date | 2013-06-28 |