| NPI | 1245395011 |
|---|---|
| Other Name | PEGGY GRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0114391) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0105881) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 899) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-01-02 |