NPI | 1619196821 |
---|---|
Professional Name | TONYA GRISSOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0907044) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0703029) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2023-06-28 |