| NPI | 1083050371 |
|---|---|
| Professional Name | MICA GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0011775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011775) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-02-19 |