NPI | 1134221435 |
---|---|
Former Name | REBECCA L GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22927) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: SC 6618) | |
101YP2500X Counselor, Professional (Licence: NC 7508) | |
Enumeration Date | 2006-09-05 |
Last Update Date | 2024-04-26 |