NPI | 1992041420 |
---|---|
Former Name | ASHLEY GRINSTEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH 1700196) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 171346) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2022-08-08 |