| NPI | 1417149543 |
|---|---|
| Other Name | JENNIFER GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21245) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11241) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL ota 10151) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2019-05-21 |