| NPI | 1679741490 |
|---|---|
| Former Name | COLLEEN ELIZABETH GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-202666) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2013-04-26 |