| NPI | 1174769798 |
|---|---|
| Former Name | TRACY LYNN NICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 215093) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2012-11-20 |