NPI | 1548459951 |
---|---|
Other Name | SAGE TRACEY TRUCANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52751) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-10-22 |
Last Update Date | 2016-06-29 |