| NPI | 1184445264 |
|---|---|
| Former Name | TRACY SCHLEIF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704329968) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-12-18 |