| NPI | 1578149654 |
|---|---|
| Former Name | JENNIFER D GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: ME CAC7377) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2021-03-20 |