| NPI | 1205066735 |
|---|---|
| Former Name | CHRISTINA LYNN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500311-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0500311-SUPV) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2023-01-06 |