| NPI | 1679697643 |
|---|---|
| Professional Name | LORI BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010196) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-05-17 |