| NPI | 1053642645 |
|---|---|
| Former Name | TRACEY L MULLIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |