| NPI | 1922722164 |
|---|---|
| Professional Name | PHYLLIS LUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC6554) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4935) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |