NPI | 1235362484 |
---|---|
Former Name | TRACY A CAVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9720-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3149) |
1041C0700X Social Worker, Clinical (Licence: NM C-09621) | |
Enumeration Date | 2009-09-03 |
Last Update Date | 2023-10-06 |