| NPI | 1508542937 |
|---|---|
| Former Name | JAMIE NICOLE GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 202302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-09-11 |