| 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 |