Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1295093136 |
---|---|
Provider Name | Piper Spurgeon Grant |
First Address | Pasadena, CA 91106-3955 |
Second Address | Pasadena, CA 91106-3955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2012 |
Last Update Date | 03/10/2014 |