NPI | 1730316910 |
---|---|
Other Name | KERISH MARIE GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ME LC13117) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12063) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2011-12-27 |