| NPI | 1154626034 |
|---|---|
| Former Name | ANN M GRIZZLE-THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4920-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15470-131) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-02-22 |