| NPI | 1629199765 |
|---|---|
| Professional Name | TRACY KENLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7622) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-11-21 |