NPI | 1215384664 |
---|---|
Former Name | PATRICIA A. GRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1396) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-05-16 |
Last Update Date | 2024-11-23 |