| NPI | 1679733430 |
|---|---|
| Professional Name | MARTHA PHOENIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007192) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2684) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2008-06-14 |