NPI | 1063174894 |
---|---|
Professional Name | JAYLENE M. LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11255) |
Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: FL PY11255) |
103TR0400X Psychologist, Rehabilitation (Licence: FL PY11255) | |
Enumeration Date | 2021-10-08 |
Last Update Date | 2021-10-12 |