| NPI | 1366412819 |
|---|---|
| Former Name | VICTORIA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016460) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123412) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-04-15 |