NPI | 1750614707 |
---|---|
Former Name | STEPHANIE LYNN GRABO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13021) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12236) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2019-06-11 |