NPI | 1881035012 |
---|---|
Former Name | TRACI NACOLE FERRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001181) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-07-16 |
Last Update Date | 2023-02-15 |