| NPI | 1295604486 |
|---|---|
| Former Name | TRACY SUZANNE SPITLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61409009) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |