| NPI | 1104129501 |
|---|---|
| Former Name | ANDREA N. GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC3845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3581) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2012-08-05 |