NPI | 1437194511 |
---|---|
Former Name | HAYLEY A GRIBBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015375) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015375) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2012-02-02 |