NPI | 1952864258 |
---|---|
Former Name | LAILA GRIDLEY; JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 3938) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2019-04-12 |
Last Update Date | 2019-08-14 |