| NPI | 1760746952 |
|---|---|
| Former Name | STEPHANIE E GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF3166) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC35186) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |