| NPI | 1073824389 |
|---|---|
| Former Name | TRACEY LYNNE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60173003) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C2821) |
| 101YM0800X Counselor Mental Health (Licence: WA 60173003) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-06-18 |