| NPI | 1689908386 |
|---|---|
| Former Name | ASHLEY RENEE GRIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13266) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2021-02-24 |