| NPI | 1720763758 |
|---|---|
| Other Name | HEIDI TRACEY, LLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP12742) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MD CER81316Q8M6T9) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-10-29 |