| NPI | 1366004582 |
|---|---|
| Professional Name | TRACY PROCTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |