| NPI | 1427243369 |
|---|---|
| Former Name | TRACY RENEE BREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2825-27) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 44-140) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2013-07-18 |