| NPI | 1063750016 |
|---|---|
| Former Name | TRACY KLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01256) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-06-10 |