| NPI | 1043374994 |
|---|---|
| Former Name | TRACIE L HALL-BURKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 26120) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-01-24 |