NPI | 1346969557 |
---|---|
Former Name | KAILYN MCKINSEY WALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6362009536) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-06-14 |