| NPI | 1144535915 |
|---|---|
| Former Name | STEPHANIE GAIL GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-08261) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2024-04-16 |