| NPI | 1396334959 |
|---|---|
| Former Name | TRACIE JAINE SHERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022583) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-02-02 |