| NPI | 1851673990 |
|---|---|
| Former Name | STACY ANN GUY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090172) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2020-09-04 |