NPI | 1588626766 |
---|---|
Other Name | TRACY WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004869) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC6408) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2025-06-16 |