| NPI | 1043622889 |
|---|---|
| Former Name | STACY ELIZABETH GLABACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016249) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071008832) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-10-21 |