NPI | 1467913988 |
---|---|
Former Name | EMILY GRINNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC60836710) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-03-27 |
Last Update Date | 2019-03-27 |