| NPI | 1437489457 |
|---|---|
| Former Name | ANGELA ELIZABETH GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: MS 2444) | |
| 101YP2500X Counselor, Professional (Licence: AL LPC4217) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2025-08-12 |