| NPI | 1902284896 |
|---|---|
| Former Name | TRACEY RAABE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01486) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-11-11 |