| NPI | 1598304727 |
|---|---|
| Former Name | GRISSELLE IVETTE SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |