| NPI | 1003264805 |
|---|---|
| Former Name | TRACI L BENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091675) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077550) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2025-07-14 |