| NPI | 1225218332 |
|---|---|
| Former Name | STACY D MCCARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202125) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001690) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT4308) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2025-01-08 |