| NPI | 1578828109 |
|---|---|
| Former Name | TRACY LAUREL FITCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1702246) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2020-10-13 |