| NPI | 1811308836 |
|---|---|
| Former Name | AINSLEY E VANDYCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5863-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16259) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-12-18 |