| NPI | 1942667860 |
|---|---|
| Professional Name | TRACY PEDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 5607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5607) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2023-06-23 |