| NPI | 1780959494 |
|---|---|
| Former Name | JESSICA RENA GRIMSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1453) |
| 1041C0700X Social Worker, Clinical (Licence: IA 007194) | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2023-04-12 |