| NPI | 1093413171 |
|---|---|
| Former Legal Business Name | GRAY, NATALIE |
| Entity Type | Organization |
| Authorized Contact | NATALIE GRAY Licensed Marriage Family Therapist 209-352-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |