| NPI | 1942727755 |
|---|---|
| Former Name | TRACY LORRAINE SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT100542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT100542) |
| 104100000X Social Worker (Licence: CA IMFT100542) | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-04-30 |