| NPI | 1285013904 |
|---|---|
| Former Name | CHELSEA LAUREN GRIMSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: SC 1433) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2017-03-09 |