| NPI | 1235214453 |
|---|---|
| Former Name | NANCY LEE BOURDAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009490) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801021198) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |