| NPI | 1033659560 |
|---|---|
| Former Name | TRACEY OSBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60612318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60633268) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60585615) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2018-03-17 |