| NPI | 1285758201 |
|---|---|
| Other Name | CONNIE REGINA GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60805339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1844) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-11-05 |