| NPI | 1376067926 |
|---|---|
| Other Name | ILA ANN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.161081-3) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-10-04 |