| NPI | 1992173694 |
|---|---|
| Former Name | STACEY LEIGH GRAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11386) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130917) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-04-27 |