| NPI | 1194816686 |
|---|---|
| Professional Name | KATHLEEN TRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 0101021) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 0101021) |
| 103TF0000X Psychologist Family (Licence: NY 0101021) | |
| 103T00000X Psychologist (Licence: NY 0101021) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-09 |