NPI | 1538466982 |
---|---|
Former Name | TRACY YVONNE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6802089272) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2022-03-25 |