NPI | 1245764463 |
---|---|
Former Name | ARIELLE DALTON GRIMMETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6878-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 6878-C) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2018-03-17 |