| NPI | 1750471108 |
|---|---|
| Former Name | PAULA K TRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS C5828) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS C5828) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2014-01-23 |