| NPI | 1760736953 |
|---|---|
| Former Name | TRACY LYNNE HIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17424) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17424) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2020-02-13 |