NPI | 1306328414 |
---|---|
Former Name | TRACY LYNN HOLLANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 1306328414) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 1306328414) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-09-19 |