| NPI | 1730368754 |
|---|---|
| Former Name | JAN LESLIE GRAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY12631) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12631) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |