| NPI | 1700895679 |
|---|---|
| Former Name | TRACY ANNETTE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003832) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-10-05 |