NPI | 1457502049 |
---|---|
Former Name | LINDA LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000003517) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002586) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2012-08-10 |