NPI | 1174566954 |
---|---|
Professional Name | TRACY BLACK-CECCHINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 5848945-2501) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013988-1) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2007-07-08 |