| NPI | 1275174823 |
|---|---|
| Former Name | MONICA GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 17404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17404) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 17404) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-10-13 |