| NPI | 1073660643 |
|---|---|
| Professional Name | LORICE GRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A-10224) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 1116) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3031-A) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-11-02 |