| NPI | 1881115814 |
|---|---|
| Former Name | BRIDGET SIMONE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 14744) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |