| NPI | 1275638769 |
|---|---|
| Former Name | CAROL GRAY KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC15858ME) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME CC1858) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-11-09 |