| NPI | 1538262191 |
|---|---|
| Former Name | GAYLE GENEVIEVE VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005505) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 071005505) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |