NPI | 1932472909 |
---|---|
Former Name | EBONY MCCRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3238) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-02-21 |
Last Update Date | 2018-02-13 |