NPI | 1750827499 |
---|---|
Other Name | WUTZKE, TRACY |
Other Name | DR. TRACY WUTZKE |
Entity Type | Organization |
Authorized Contact | TRACY WUTZKE Clinical Psychologist 858-413-7557 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17239) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52458) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2021-11-14 |