| NPI | 1215192539 |
|---|---|
| Former Name | RANDI JEAN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3011) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 18550) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2015-04-20 |