NPI | 1770047797 |
---|---|
Other Name | AURILIA GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18368) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL imh17344) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2022-10-05 |