| NPI | 1902962178 |
|---|---|
| Professional Name | TRACI MELINDA FERTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-001920) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 149-001920) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-05-17 |