| NPI | 1285696799 |
|---|---|
| Former Name | TRACY A WALKER (BRADBURY) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6370) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4081) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-06-01 |