| NPI | 1578740239 |
|---|---|
| Former Name | LUCIE BROSSARD KIWIMAGI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0003265) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 3265) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2021-10-07 |