NPI | 1912324971 |
---|---|
Former Name | ELIZABETH GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929506) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-08-25 |