NPI | 1962838904 |
---|---|
Other Name | GRAY JANOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VT 0970134666) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 221702) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2019-12-12 |