| NPI | 1689922585 |
|---|---|
| Former Name | TRACY LEE GALLATIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2024-05-30 |