NPI | 1871758268 |
---|---|
Other Name | VERNETTE LEOLA GILBREATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3293) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 3293) |
103TC1900X Psychologist Counseling (Licence: NC 3293) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 3293) | |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |