| NPI | 1932288156 |
|---|---|
| Former Name | MARCIA ANNE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME LC7699) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC1058) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC7699) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-02-21 |