| NPI | 1063547537 |
|---|---|
| Former Name | LYDIA GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0090295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0094257) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-06-28 |