| NPI | 1043301583 |
|---|---|
| Former Name | TRACIE CAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2804) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14797) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-05-10 |