NPI | 1639671951 |
---|---|
Other Name | KATY MELISSA AINSLIE-WALLACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6261) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3845-226) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2022-06-04 |