NPI | 1427221183 |
---|---|
Former Name | TRACY ALISON KRAUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10328) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 13115) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2015-04-21 |