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 |