| NPI | 1033460373 |
|---|---|
| Former Name | LATONIA GRISSOM BLUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-08035) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM M-08035) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-08-25 |