| NPI | 1811208838 |
|---|---|
| Former Name | TRACEY-ANN A BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008255) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-07-10 |