| NPI | 1770729139 |
|---|---|
| Former Name | STACIE ANN CRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35210) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70244) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-09-05 |