| NPI | 1801260930 |
|---|---|
| Former Name | GRACE A CROSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4646) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 6005) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2020-01-13 |