| NPI | 1255877429 |
|---|---|
| Former Name | TATYANA O GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05995800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099773) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2025-02-28 |