| NPI | 1447597604 |
|---|---|
| Professional Name | OPAL GRAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5688) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 012266) |
| 101YP2500X Counselor Professional (Licence: NC 9276) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2022-05-11 |