| NPI | 1235647470 |
|---|---|
| Former Name | LAURIE ANNE GAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071009687) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |