| NPI | 1609845759 |
|---|---|
| Former Name | JANUARY J GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IA T083414) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IA 083414) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA T083414) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-06-24 |