| NPI | 1740857820 |
|---|---|
| Former Name | REGINA GRIBBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024137) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-05-10 |