| NPI | 1831328665 |
|---|---|
| Other Name | TRACI K. |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 174H00000X Health Educator | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-01-08 |